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Jennifer Lynn Tarasevich, D.P.T.

Physical Therapist in Syracuse, NY. Individual provider (NPI-1).

NPI number1457727273
StatusActive
Last updated in NPPESDec 13, 2015

Details

NPI
1457727273
Entity type
Individual (NPI-1)
Name
Jennifer Lynn Tarasevich
Credential
D.P.T.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 16, 2015
Last updated
Dec 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist039109NYYes

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Phone 315-464-5540

Mailing address

750 E Adams St
Syracuse, NY 13210-2306

Phone 315-464-5540

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